Treatment of Liver Hemangiomas by Enucleation

Alper, Aydın; Arıoğul, Orhan; Emre, Arif; Uras, A; Okten, A

doi:10.1001/archsurg.1988.01400290146027

Cited by 69 publications

(53 citation statements)

References 15 publications

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“…The procedure is generally curative [23,118,119]. Successful cases of liver transplantation have been performed in patients with hemangioma of the liver [120][121][122].…”

Section: Liver Transplantationmentioning

confidence: 99%

Clinical Review: Management of Adult Kasabach-Merritt Syndrome Associated with Hemangiomas

Master¹,

Kallam²,

Eo³

et al. 2017

J Blood Disord Transfus

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Kasabach-Merritt syndrome (KMS) consists of a clinical trial of capillary hemangioma, thrombocytopenia and disseminated intravascular coagulation. KMS occurs most commonly in the pediatric population, and its occurrence in adults is rare. Specific guidelines or randomized clinical trials guiding clinical management of KMS in adult patients are lacking. This manuscript provides a comprehensive review of KMS and discusses recent advances in the medical management of KMS. We also propose a systematic therapeutic approach which would serve as a guide in the management of adult patients with KMS caused by hemangiomas.

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“…The procedure is generally curative [23,118,119]. Successful cases of liver transplantation have been performed in patients with hemangioma of the liver [120][121][122].…”

Section: Liver Transplantationmentioning

confidence: 99%

Clinical Review: Management of Adult Kasabach-Merritt Syndrome Associated with Hemangiomas

Master¹,

Kallam²,

Eo³

et al. 2017

J Blood Disord Transfus

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“…The indications of surgery for giant liver hemangioma is well defined and symptomatic or complicated lesions are the most conditions requiring surgical management [4,13,18,[29][30][31]. Combined use of advanced various imaging techniques allows to establish diagnostic certainty in most cases.…”

Section: Surgical Approachmentioning

confidence: 99%

“…Furthermore surgery remains the effective therapeutic method to treat liver hemangioma. Surgery includes liver resection, enucleation and transplantation [29]. A rare cases of liver transplantation performed for diffuse hepatic hemangiomatosis, lesions anatomically unresectable by conventional approaches and in patients with Kasabach-Merritt syndrome, have been reported [7][8][9][10].…”

Section: Surgical Approachmentioning

confidence: 99%

“…Results of recent meta-analyses comparing outcomes of enucleation versus those of anatomic resection for giant liver hemangioma revealed no surgery-related death in both enucleation and resection, however, enucleation was associated with significantly lower blood loss, lower operative time, and lower risk of complications [38,39]. Most authors advocated enucleation because it is safer and quicker with lower overall complications and less blood loss [18,29,33,[40][41][42]. An increase in mini-invasive surgical procedures for liver benign tumors including hemangiomas has been reported in the last two decades [6].…”

Section: Surgical Approachmentioning

confidence: 99%

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Therapeutic Options of Giant Liver Hemangioma

Boukerrouche

2018

JLRDT

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Liver hemangiomas are commonly the most frequent benign lesion of the liver. They are generally smaller, asymptomatic and diagnosed incidentally in imaging studies. A liverhemangioma is qualified giant when it has a size larger than 5cm. Asymptomatic and non-complicated giant liver are managed conservatively by observation. However, lesion with incapacitating symptoms or complications is managed surgically. Surgery remains the most effective and radical therapeutic modality to treat liver hemangioma. Thus both enucleation and liver resection can be performed to remove the lesion. However recent studies demonstrated that enucleation was a safer, Quaker surgical procedure and associated with lower complication and less blood loss. Non-surgical treatment options have been described to be used alone or in combination with surgery. This mini-review provides a general view of the therapeutic options employed to treat giant liver hemangioma.

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“…The treatment methods for hepatic hemangioma include transarterial embolization, radiological therapy, and liver transplantation, in addition to surgical resection [6,18] . Transarterial embolization increases surgical safety by reducing hemorrhage.…”

Section: A B C Dmentioning

confidence: 99%

Hemorrhagic hemangioma in the liver: A case report

Kim

Chung

Jang

et al. 2015

WJG

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Hemangioma is the most common type of benign tumor that arises in the liver. Although rupture and hemorrhage of hepatic hemangioma are rare complications, they can be the cause of mortality. The authors report a case of hemorrhagic hepatic hemangioma: in a 54-yearold woman who was admitted with epigastric pain. She had taken oral contraceptives several weeks prior. The results of a blood examination were normal. An abdominal computed tomography scan revealed a tumor in hepatic segment 4, and a hemorrhage inside the cystic mass was suspected. The mass was removed laparoscopically to confirm the tumor properties and control the hemorrhage. The pathologic findings of the resected mass were consistent with hepatic hemangioma with intratumoral hemorrhage. The patient was discharged 8 d after the surgery, without further complications or complaints, and the patient's condition was found to have improved during follow-up.

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Treatment of Liver Hemangiomas by Enucleation

Cited by 69 publications

References 15 publications

Clinical Review: Management of Adult Kasabach-Merritt Syndrome Associated with Hemangiomas

Clinical Review: Management of Adult Kasabach-Merritt Syndrome Associated with Hemangiomas

Therapeutic Options of Giant Liver Hemangioma

Hemorrhagic hemangioma in the liver: A case report

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